HomeMy WebLinkAbout2709 VIA COLIMA; ; 83-34-231; Permit~f O O I hereby affirm that I am licensed under
) provisions of Chapter 9 (commencing with
... [ Section 7000) of Division 3 of the Business ~ and Profeaalons Code, and my license is In
a:: full force and effect. ~ lie No ______ Oass
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I hereby .ifhrm thal I am exempl lrom lhe Contrac-
tor's L,c,nse Law tor the IDIIOWJng reason (Sec 7031 5 Business and Prolessions Code Any city or coun1y whteh re-quires a perm11 to conslruct, alter. improve. demohsh. or
repair any structure, P"°' to 11s issuance also requires !heap·
phcant !or such permit 10 Ille a signed statement that he 1s licensed pursuanl lo lhe prov1st00s of the Contrac1or·s
Ucenss Law (Chapter 9 convnenc1ng w1lh Section 7000 of Otv1s1on 3 ot the 8uS1ntss and Profess10ns Code) Of that ,sex•
empt lheretrom and lhe basis for the allegeo exemphon Any v,Diatoon ol SectlOll 7031.5 by an applicant 10< a permll su1>-
1ects the appticant to a CIVIi penalty of not ffl()(! than five hun--
dred dollars ($500)
0 I, as owner o! the property, 0< my employees with wage,
as their !de compensatron, will do the work. and lhe slruc-ture is nol intended Of ollered 10< salt (Sec 7044, Business
and Professions Code: The Conlrac10,·s LJctnse Law does
not apply to an owner ol properly who builds or improves thereon and who does such work himself or through his own
employees, prOYided lhat such improvements are not intend· ed or offered tor sale. II, hawever. the buikting or improve-
ment 1s sold within one year of completion, lhe ownef-bu11der
will have the burden of prOYtng that he did not buikl CN' im-
pro,e 10< the purpose o! sale).
D I, as owner of lhe propecty, am exclusrvefy contracting
with licensed contractors 10 construct the pro,ect (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of pcoperty who builds or im-proves thereon, and who contracts lor each prCJiects with a
conlractor(s) license pursuant to the Contractor's License Law).
D As a homeowner I am improving my hO<nt, and lhe lollow·
Ing conditions exist: 1. The work is being performed prlOf to sale. 2. I have lived in my home f0< lwelve monlhs
prK>r to com~etion of this work. 3 I have not claimed this exemption during the last three years.
D I am exempt under Sec. ______ , 8 & P.C. tor lhis reason ____________ _
□ I hereby afhrm tf\at I ha.-e a cert,hcate or consent
10 sell-insure. or a cer11f1cate of Workers·
Compensation lnsur~nce. Of a cen,1,e0 copy thereof !Sec 3800, Labor Cooe)
POLICY NO
COMPANY
□ Coc,y 1$ flled with the C1ly
0 Cert1hed cooy 1s hereby turmstled
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Ttus sec1.on nee<! not be comp1e1eo it the perm,t
,s IOf one hundred dOllars {S HXll or less}
D I certify tha1 in the perlo,-mance ot the wOfk IOf
wtuch this permit 1s issued. I shall not employ any
person in any manner so as 10 beeome sub1ec1 to
lhe Wortler:f Compensation Laws ot Callfom,a
NOTICE TO APPUCANT 11. after makm~ 1h15 Cert•
hcate ot Ea:empt1on. you sttould become subtecl I?
the WOl'kers· Compensation PfOV1s1ons 01 the UlbOr
Code. you must 10f'1hv..11h comply Wllh SUCl'I
prov1s1ons o, O't1s perm,1 shall be deemed ,e..,oke<J
O I nereby aflum thal !here 1s a construct,on 1end1no a,gency tor ll'le performance of lhe work to,
which 1t11s perm,, ,s issued tSec 3097 c,..,,1 Cooe1
Lende, s Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 -~ /? / /
JOB AOOA.~SS, AV ST. RO. NEAREST CROSS ST. I DATE OF APPLICATION! BUSINESS LICENSE • ~AY't!!;, lt:2,_..,. PERMIT NUMBER '
2169 Via .Colina. Carlsbad. CA 92008 I .-------'--""7-===:::..~-----t A.AY✓--0
L2T3" 8LOC~ ~,2~:ltON I A161'.:34Ao:.iio ITbe llighland Cmpany 942~2S~E• ZONE A?)~,,-,
OWNER'S NAME ·-•· • I OWNER'S PHONE 7, '!he Highlana" CCiipany 942-6262 f§~Y~l.'rrageRPi way, #201 LICENSE NO. PLAN 1.0. # BLDG USE c;;,E
OWNER'S MAILING ADDRESS ,w~~n; ... ,,.,. ('JI. Q?n?A B-342407 PE -
1991 VillanP Park wau #201 Encinitas CA 92024 DESIS)NER • LICENSE. STANOARO PLAN• BUILDING so. FOOTAGE
•-::1-,i , ' ' IEnviramental Design C-1798 AIA ~ n ./. ..J. /
DESCRIPTION OF WOAK / <f-tfQ t./1 LJ V.
New construction f9§iNV~~ssPam way, 1201 DESfGNE R'S PHONE •
50 Plan 1496 s.f. i;tnr,;n-l+-::1a .('JI. Q'. n?A. 942-6262 3~27/841 00~ .i:Al.r
--------~------------~-----F/P FLRELEV. NO OCCGP EDU
, _ vO ~ __ STORIES 'i<-.:S /
_ f AREA .....___/ CONST./ CENSUS TRACT I GP LANO USE I PARKING SPACE l RES UNITS I GRADING PERMIT ISSUED I REDE VELOPMENT TYPE occ LOAD FIRE SPR
#J f'tJ y D NO v□ N')S.. V-tv L/0 vO ;:;g__ Not Valid Unlers~chine Cerrified
QTY. PLUMBING PERMIT -ISSUE "'J 5_;:-QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER._:5'/r-< OC>
/ / EACH FIXTURE TRAP zt-i ~ ) INSTALL FURN. OUCTS iJP TO 100,000 BTU A.. .rv--. BUILDING PERMIT 01-00-00-8220 " -' , --
/ EACH.8UILOING SEWER C-, ,:5, OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
/ EACH WATER HEATER ANO/OR VENT ..;) .:Sr BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 ·--, "1 / ~ 0 r'I
/ EACH GAS SYSTEM I TO 4 OUTLETS .,,;:i .5, BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00-8222 4,-C.. .< r,
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 -.....30 . (")/""'I
EACH INSTAl. ALTER, REPAIR WATER PIPE ..._3 VENT FAN SINGLE OUCT •✓-_ . r.,r MECHANICAL 01-00-00-8224 /..-< n ("')
EACH VACUUM BREAKER MECH EXHAUST -HOOOIOUCTS M0BILEHOME 01-00-0Q-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK lNSP
EACH ROOF DRAIN (INSIDE) SOLAR n1-no-nn.•oo~ .A .~ --TOT/.L MECHANICAL STRONG MOTION 80-92-33-0519 .~ / J
TOTAL PLUMBING j ~ 60 / .:3 00 FIRE SPRINKLERS 01-00-00-8227
PUBLIC FACILITIES FEE 32·00-00-8933
QTY. ELECTRICAL PERMIT -ISSUE ...,.---QTY. SOLAR -ISSUE ~ -BRIDGE FEE
Jr,r-. NEW CONST EA AMP/SWT 1BKR COLLECTORS t\ SCHOOL FEE -DISTRICT
Au.I. 1(1"PH) 3 PH -"'.),<' rY'. STORAGE TANKS r).. Carlsbad 80-92-21-051 9
EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE J' fl , l Encinitas 80·92-22-0519
I PH 3 PH PUMP fY }'\,I j"o San Dieguilo 80·92-23-0519
, REMOOEL'ALTER PER CIRCUIT PLAN CHECK FEE \\\r \. ·oll... I\. San Marcos 80-92-24-0519
TEMP POLE 200 AMPS \) j \.) /" 1
OVER 200 AMPS ...., \ / LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI '\. dJ F-J:-,4.QI") I'") r"\
CREDIT DEPOSIT
10rALELEnR1cAL I 00 00 • ToTALsoLAR ToTALFEEsPAYABLE I /o,;;rJ.G 9
1 HAVE CAREFULLY EXAMINED THE COMPLETED ''APPLICATION AND PERMIT" AND DO HEREBY E,cpirelion. Ew,yperffllt-..clbVltleBuildingOfllcialundartllep,ov,11onsoftllla * AN OSHA-:_-----FOR EXCAVATIONS OVER
CERTIF'~;ONOER· P!tCAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code -• e,,p1,. bV hmttat-and become null anct void If flle butklong or won 5' O" DEEP-..~ OR CONSTRUCTION OF aulhonHd bV IUCh permit .. not commenced wltlllll '80clays lrom the dale of IUC~ ...... --
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or ti Ille butlclong or llrOtk IIU1tlonleCI by _,. permit 19 suspended o, ST ~ 3 STORIES IN HEIGHT
ISSUED TD COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON· abenOonecl at•-ameafler lheworti ii ,..... '""·"-.:..--· •
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE.TO SAVE INDEMNIFY AND APP\.r ··-·-~T~ -~ □ APPROVED BY l-L ~,~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ~ ONf!ACTOA
EXPENSES WHICH M"Y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE ~ ~ BY PHONE O I f //J I
GRANTING OF THIS PERIMT. '7""' ------. C1"7 ~ L/-
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TYPE I DATE INSPECTOR '· --"' .. cgs-3>'-t-,2.3} BUILDING • I I
FOUNDATION I
o1 11 /hA
,,
FIELD INSPECTION RECORD I ' :.----r-/'\ ...II F
REINFORCED STEEL ! / • • • V -
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY ' I REO IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
M
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE ',. . . ~ . . SHEATHING D ROOF D SHFAR PRIOR TO
FOUNDATION INSP . FRAME I r1 '7-o,r ~ ~ I A ~-,'t
EXTERIOR LATH J STRUCTURAL CONCRETE ! " OVER 2000 PSI ' INSULATION I " l'r(,~ •~ 1. II:::~ ,/"'"' PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL I / ~(7-'L'i > ~--:--POST TENSIONED ~ . . CONCRETE I II J
PLUMBING I FIELD WELDING ~ . I /
SEWER AND BUCO DIPUCO I ' 11,f.,,·Xll I HIGH STRENGTH .. . ,r-xJ/) BOLTS UNDERGROUND D WASTE D WATEA -. ---
TOP OUT D WASTE D \YATER ...-7,"7:n ;. II . ·~ . SPECIAL MASONRY i • 'i ..--:_ .----l... r~
TUB AND SHOWER PAN I , .
GAS TEST I ~-Ul'I .i ' PILES CAISSONS -
D WATER HEATER D SOLAR W~TER --. -~ -' -I " --p ELECTRICAL I " ---
D ELECTRIC UNDERGROUND o:uFFER .... ---: I • / • J l ROUGH ELECTRIC I .-1;-.nr1 -
~JI ',1£-r.J ,------~.._-_ .. -;-__ . -. D ELECTRIC SERVICE D TEMPORARY ,..,-
' ' ' . ' I , --• t -D BONDING D POOL . ' ' I ..
I \, ' -/ . -r' C ,1---:.,. ~ MECHANICAL _/ l .
D DUCT & PLEM., D REF. PIPlt'-JG '7. '1J{J .U.-·1 L-..':J . --.. .
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I .
I
. ' CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE -. ITEMS ABOVE HAVE BEEN APPROVED.
FINAL ' I
PLUMBING I
-~ J
.A'l~T ~.L//V -ELECTRICAL t ~/,r.· . . . MECHANICAL i ~ -~-~ \' ' --..,' ~r -GAS ! ..,.. _?{) '
BUILDING I ,\ . .. ' \. ..
I 1: {~ .. _ • ' I
SPECIAL CONDITIONS I r e C
I -
This is to certify that insulation has been installed in conformance with the
current energy regulation, California Administrative Code, Title 25, State of
California, in the building ;ocated at:
SITE ADDRESS --~~~::J~2~'2~9 ___ V~i=a:.-=-C=ol=ima=~•-C=a~r~l=s=ba=d=,L___:::CA::...;__ ____ ----=-______ _
O.vens/Corning 6¼ 11
CEILINGS CertainTeed 6 11
Batts: Type Fiberglass Manufacturer Manville Thickness 6!11 R-Value 19
Type Manufacturer -----EXTERIOR WALLS O.vens/Coming Cert a in Teed
Blown :
Type Fiberglass ~fanufatturer Manville
FLOORS Type ~1anufacturer -----
General Contractor
By Title -------------
Sc hrn id Insulation Contractors, Inc.
Thickness R-Value
3½11
3}"
Thickness 4 11 R-Value 11
Thickness R-Value ------
License# ---------
Date ---------
License# 22 1517 C-2 ---------
~~~~~~1.l...!~~~~1-----Title Vice President Date ________ _